Gearing up for a busy 2019 - Canterbury District Health Board
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CEO UPDATE 21 January 2019 Gearing up for a busy 2019 Welcome to the first CEO Update of 2019. For those of you who have been with friends or family over Christmas or away on holiday, I hope you had a safe, relaxing time, and have returned feeling recharged. Welcome to the first CEO Update of 2019. For those of you Everyone has different ways of responding to stress, and who have been with friends or family over Christmas or sometimes it takes a new way of thinking to minimise away on holiday, I hope you had a safe, relaxing time, and or manage this. The Mental Health Foundation has a have returned feeling recharged. I know that many of you number of resources on how to minimise and manage continued to work over the Christmas/New Year break, workplace stress, including understanding and managing which was a particularly busy time for a number of our the physiology behind the stress response, ideas on how to departments and units. I want to acknowledge and thank resolve issues by focusing on solutions, and how you can those of you who worked through the holidays, continuing ‘switch on’ your relaxation response through basic breathing to help and support people when and where needed – techniques. I’d encourage you to take a look at these if you something that, while often rewarding, can also bring its or someone you know has been finding things stressful. own stresses and challenges. And remember that you can also access free confidential support through EAP and Workplace support. Canterbury’s integrated health system being modelled by the NHS A number of organisations and local authorities under through work with our clinically-led alliance partners the wing of the United Kingdom’s National Health System (Canterbury Clinical Network), and we work with them to (NHS) in South Tyneside, North East England, have been improve health outcomes for our shared population. It is changing their ways of working by following the example of also reflected in the Canterbury Health System Outcomes Canterbury, crediting our integrated health system as one framework. The NHS’s work in South Tyneside’s health of the best in the world. system involved creating its own alliance framework – one where providers collaboratively plan and make decisions Canterbury DHB has had a strategic partnership with – which it has set out in its alliance charter. Its Alliance colleagues in South Tyneside for the past four years, sharing Leadership Team is continuing to do the necessary work to what has worked well for us here, and how this could be put in place the behaviour and culture changes needed for applied in a northern-hemisphere context. The NHS was this new way of working. attracted to our approach because of the way our health system has moved away from a silo mentality and being To support General Practice teams, the South Tyneside organisation-centred, towards a collaborative, whole system also implemented its own version of HealthPathways way of working where the person is at the centre of all we do. an online resource that was first developed in a partnership between Canterbury DHB and Streamliners. The Canterbury Health System has a joint vision of health HealthPathways has been widely used by GPs since it and social services focused on people. This is enabled In this issue ›› Regulars... pg 3-9 ›› United effort gets hospital patient to her ›› Share your favourite photos and you could ›› New Year Honours recipients... pg 10-11 grandson’s wedding... pg 14 win a Night Noodle Market voucher... pg 17 ›› Working together towards Smokefree ›› Neonatal Men’s Shed brings comfort to ›› One minute with... pg 18 Aotearoa 2025... pg 12 fathers during a difficult time... pg 15 ›› Notices... pg 19-26 ›› Your Big Shout Outs have made a ›› Appointments of Medical Oncologist and difference! pg 13 Radiation Oncologist... pg 16 1
21 January 2019 launched in South Tyneside, and other health and social Click on the following link to read the full story on South care staff in the area have also been given access to the Tyneside’s health system transformation. site. Government’s 2019/20 expectations for district health boards announced Every year, DHBs and their subsidiary entities receive a This will be one of the largest hospital migrations ever Letter of Expectations from the Minister of Health, who sets undertaken in NZ. The Akaroa Health Centre Te Hauora out the Government’s expectations for the public health o Rākaihautū is expected to be completed mid-2019, sector. This includes fiscal responsibility, building a strong providing Akaroa residents with General Practice team and equitable public health and disability system, improving services, including four flexibeds and eight aged residential mental health and addiction care, improving child wellbeing, care beds. Design work will be continuing on facilities for improving rural health, and leading by example in terms of Mothers & Babies, Eating Disorders, High & Complex Care public health and the environment. and Child & Youth, along with the new energy centre at Christchurch Hospital. The Minister’s priorities fit within our own mission statement, which is to improve, promote and protect the One of our top priorities, as well as the Government’s, health of the people in the community and foster the continues to be mental health and addiction care. To help wellbeing and independence of people who experience address the growing mental health needs of people in disabilities and reduce disparities. Canterbury, the development of an indicative business case to support a new adult acute inpatient unit at Hillmorton One of the Government’s focuses is on achieving health will commence during the year. The Mental Health and equity for Māori and meeting our Treaty of Waitangi Addiction Inquiry recommendations that were released obligations, and addressing key areas of unmet need, last year are being considered by the Government, and we especially for Pasifika peoples and other population groups will begin implementing the Government’s response to the with poorer health outcomes – this is something that recommendations in due course. Canterbury DHB takes very seriously so expect to read more on this in the near future. As the Minister points out, improving equity and wellbeing, integrating health care, and delivering the best care to Part of achieving the Government’s goal of a strong and our population is only possible with strong cross-sector equitable public health and disability system involves having collaboration. As the story about South Tyneside shows, the necessary infrastructure in place not only for treating we are already seen by others as a good example of what patients/outpatients and making buildings accessible an integrated health system looks like. Of course, there are for people living with a disability, but also educating and still many ways we can improve and we will continue to face training those wanting to enter the health workforce. Last numerous challenges this year, but I look forward to moving year was a big one for us in terms of opening a range of ahead and continuing to do all we can to provide quality new facilities. The first was our purpose-built Outpatients health care to the people of Canterbury. building, followed by Manawa – the purpose-built health education and research facility being occupied by the University of Canterbury, the ARA Institute of Canterbury, and Canterbury DHB. Both of these facilities put us in a Haere ora, haere pai strong position in terms of continuing to provide world-class Go with wellness, go with care care, as well as collaborative nursing, medical and allied health education training. This year, we expect the new Christchurch Hospital Hagley (Acute Services building) to be completed with migration David Meates planned to coincide with a September occupation (subject CEO Canterbury District Health Board to the current building construction staying on track). If you have a story idea or want to provide feedback on CEO Update we would love to hear from you! Please email us at communications@cdhb.health.nz. Please note the deadline for story submissions is midday Thursday. If you’re a non-staff member and you want to subscribe to receive this newsletter every week please subscribe here. 2
regulars 21 January 2019 Bouquets East Adult Community Psychiatric which you operate. It was a matter of Ward FG (Spinal Unit), Burwood Service weeks between me calling the central Hospital I’m forever thankful to have had coordination and being placed on Unbelievable awesome place, biggest specialist help with several visits the suboxone programme. Secondly, bunch of the nicest people I’ve ever into Hillmorton Hospital at various all of your staff’s caring and non- met. So very thoughtful and helpful. times during my illness to repair the judgemental attitudes. I’d especially I hope the people working here (all damage. I really am thankful to you all say that you have all, including the of them) are recognised for their as I can hold down employment, pay admission team and Shelley Higgins, absolute passion for caring for broken off a mortgage, enjoy walking up the treated me with dignity, respect, people. Brought me to tears to be so Rapaki track on a regular basis, enjoy caring and really taken a personal helped since I suffered a minor spinal family and friends, and be in a happy interest in my life. That is a huge part cord injury. marriage. of helping people in recovery. Lastly, your flexibility and efficiency … When Ward 27, Christchurch Hospital Convalescent Unit, Rangiora Health I have no meds or scripts for stat days To Jess, Helen, Mani and all the staff Hub I know I can call you and not be made on Ward 27. Thank you for the care, it I welcome this opportunity to speak to feel like an inconvenience, that is appreciated very much by myself of my feelings towards my experience the meds will be sorted, and I will be and my family. at Rangiora Hospital. I sincerely notified. You guys excel and without hope you do not change a thing as that I may very well have relapsed Gynaecological Ward I have never before experienced … Good on you all, you do a terribly I felt compelled to leave this feedback such love, care, respect and healing hard job extremely well. I owe you my as my stay in Christchurch Women’s energy as I have been given here. It sobriety, and very likely my life and Hospital surpassed all expectations. has made such a difference to my liberty too. From when I first met Professor Sykes self-confidence and healing process. to the day I left I was made to feel like It is good to know that some things Ward 18, Christchurch Hospital your number one priority. Your team in this day and age are not negative Love all the Christmas lights and worked so hard and I witnessed them and I hope this service to humanity decorating, you guys do a fantastic all under pressure but still delivering continues to grow. job. A huge thank you to all the team. the very best care. There are some specific nurses I would like to mention Christchurch Opioid Recovery Ward 23, Acute Medical Assessment and they are Victoria, Ann-Marie, Gayle Service Unit (AMAU), Christchurch Hospital and Jan who were exemplary. I would The service has been an absolute The nurses, doctors and everyone also like to commend the younger shining light in my recovery. It stands in Ward 23 and AMAU are the most nurses who are at the beginning of their out in my 10-plus years of recovery awesome people. The meals were careers who blew me away with their as the only service that really made a also great. Thanks to all the Māori attentiveness and care. Lizzie, Sarah difference for me. Three main things chaplains who were involved in my and Nicky, I can’t thank you enough for have stood out to me as major factors care. I thank them all from the bottom such a wonderful experience during a in my recovery. Firstly, the speed at of my heart. difficult time for me. Well done. 3
21 January 2019 Shahid Mehmood, North Adult Christchurch Hospital (abridged) Helen, Neonatal Unit Community Psychiatric Service and I sincerely wish to congratulate all It's been such a hard and stressful North Inpatient Unit your staff at Christchurch Hospital, experience but Helen has made this A consumer’s father was exceptionally with a special thank you to your experience turn around by being so impressed by the quality of the brilliant young doctors. I have been a wonderful, and reassuring us that our Specialist Mental Health Service patient in your hospital probably four baby is in the best care possible. She in Christchurch, outpatients and times … and have had outstanding has done all she can to comfort and inpatients, and in particular Dr service. Once again I commend your help us no matter what and has made Mehmood’s handling of all aspects of hospital and its brilliant doctors and us feel so welcome and better about the admission and review processes. can’t thank them enough for their the situation. We don't know how to He was very thankful for this, as was professionalism. thank her enough. the consumer. Patient Enquiries Phone Operator, Child Acute Assessment Unit, Ward 28 and Neurosurgery, and Ward 20 nurse Christchurch Hospital Christchurch Hospital I’d like to compliment the telephone The play nurse was amazing and The doctors and nurses were operator at Patient Enquiries and my made our whole experience much absolutely fantastic, 100 per cent elderly aunt’s nurse, Alex, in Ward 20 better. professional, very helpful, informative for their helpfulness when I rang from and made my stay so much easier to New Plymouth. It was wonderful to be Shuttle Service, Christchurch deal with. A very heartfelt thank you Hospital able to talk to my aunt briefly and be to the surgeon and operating staff, reassured by Alex before I did so. We wish to say thank you for the and a very special thank you to all of hospital shuttle service. We have used the men and women of Ward 28 for Nurses on Ward 16, Christchurch it many times and are very grateful for their care of me during my stay. I was Hospital the service. The drivers are wonderful, very nervous about being in hospital Thank you so much for being shining particularly the women drivers. The for the first time and they all did lights in what has been a very scary shift to the council carparks was a big above and beyond what I had been and unexpected time for our family. improvement. expecting. What a fantastic bunch of My Dad has been in there for a few days now and every time a nurse has Neonatal Unit people, day staff and night staff. come to visit they are always positive, The receptionist was so lovely, helpful Emergency Department (ED), and upbeat, professional and kind. They and caring towards my partner and Ward 18, Christchurch Hospital have taken their time to explain things me. One of the nicest ladies I’ve ever I was in very good hands, with nurses to us in a way we can understand. met, thank you so much. Abbie and Kelsie being the two Not only have they cheered him up Maternity Ward, Christchurch stand-outs. These ladies were great by being around with their great Women’s Hospital listeners, and provided tremendous personalities, but they have also comfort, support and encouragement. cheered us up. We are so appreciative Great staff and service, thanks so My days in Ward 18 were made a lot of the selfless work you do and how much for delivering our boy. Very easier thanks to the support and care you do it all with a big smile and helpful and knowledgeable for our first I received and I do believe the length positive energy. child. Sympathetic and very patient- of my stay was reduced as a result. first approach. I am well on the road to recovery at Gynaecological Ward Gynaecology Ward home now and sincerely appreciate A very big thank you to my nurses the care I received. Sarah, Catherine and Lesley who My daughter was admitted, first to took such good care of me during surgical, then to Christchurch Women's Dannie, Emergency Department my recent stay. Also thank you to Hospital. Coming from another DHB (ED), Christchurch Hospital Annie who always made sure I had a hospital which we have attended many I was admitted to ED via ambulance. meal choice and always greeted us times, can I say that the level of care A lovely nurse arrived and introduced with a smile. Dr Chelsea, Dr Cole and we received was above and beyond herself as Dannie. She is from Dr Sharon were all wonderful and any level of care my daughter has Washington State. I want her to know explained everything, answered my ever received in the last four years how much I appreciated the care and questions thoroughly, and made me with endometriosis and other issues. attention she paid me. Can you please feel comfortable about the treatment Rather than just medicating her up let her know how grateful I am. Nurses plan and follow up. I can't thank you all on painkillers and releasing her with like this are worth their weight in gold. enough for putting my mind at ease. a label of “it's just your endo pain”, 4
21 January 2019 the team carried on til a solution was Big thanks to all the team and keep up beautiful and happy to give me some found. Although it is not your role to the good care which is what it’s about. quit smoking info. Maria and Christina take care of me, the nursing staff on made me feel very comfortable the Gynaecology Ward looked after me Hysteroscopy Clinic throughout my procedure. Well done with cups of tea and biscuits which, From the moment I arrived at the clinic to the Hysteroscopy Clinic – these being alone a long way from home, I was welcomed by the amazing ladies ladies are an asset to the hospital. helped me deal with things a lot more. in reception. Pauline, my nurse, was The Library Browse some of the interesting health-related articles doing the rounds. “Keeping fit: how to do the right exercise for your age” – A simple guide outlining the best ways to maintain your strength and fitness at any age. From The Conversation, published online: 3 January 2018. “New AI can detect urinary tract infections” – Urinary tract infections are one of the most common reasons for patients living with dementia to be hospitalised. This study from the University of Surrey uses machine learning algorithms to identify UTI symptoms so they can be treated early to avoid hospitalisation. From Science Daily, published online: 16 January 2018. “Earthquake brain: Impairment of spatial memory following long-term earthquake-related stress” – This study looks at how information may be processed differently in people who developed post-traumatic stress disorder after an earthquake compared with those who didn’t. Preliminary evidence suggests that the trauma (exposure) itself rather than the presence of post-traumatic stress disorder can affect aspects of neuropsychological functioning. From Australian & New Zealand Journal of Psychiatry, published online: 27 July 2018. If you want to submit content to The Library email communications@cdhb.health.nz. To learn more about the real-life library for Canterbury DHB: ›› Visit: www.otago.ac.nz/christchurch/library ›› Phone: +64 3 364 0500 ›› Email: librarycml.uoc@otago.ac.nz. 5
21 January 2019 Facilities Fast Facts Goodbye Hagley Outpatients, hello Rangiora Health Hub It’s been all go on the corner of the hospital grounds Brendon Groufsky says that nothing from the building was bordering Riccarton Ave and Hagley Park over the past two wasted. “The building was designed to be deconstructed months as the old Hagley Outpatients was deconstructed and reused. Nothing went to the landfill – everything is and trucked away. being reused.” The building, which included a two-storey section and Once the remaining section is removed on Monday, diggers a single storey, was designed and built in 2012 in a way will arrive on the old Hagley Outpatients site ready to dig that would allow it to be dismantled easily once the new out the foundations and leave the site flat and clear for Christchurch Outpatients building was complete and in use. hand over for the next stage of work needed to complete Once it was no longer needed, the single-storey section the Acute Services building. was always going to be relocated to create an extension Watch a time lapse video of the building being built in 2012 to the Rangiora Health Hub. Surplus to Canterbury DHB and another of it being deconstructed and trucked off to requirements, the two-storey section was sold to a third another life in January 2019. party following a tender process. The section destined for Rangiora was cut into five pieces, and early Saturday morning, these sections were transported over the Waimak Bridge to their new home at the Health Hub. The sections will be joined together while still on the back of the trucks and then lowered as a complete building onto the foundations, which include 196 piles. Once in position, minor alterations will be required to make the buildings fit for purpose. The new use for the buildings includes Public Health Nurses, Social Workers, Rural Adult Community Services, Adult Community Therapy Services, Community Mental Health, Child and Family Rural Service from Hillmorton and other minor services. Hagley Outpatients being cut into pieces and sections transported to Rangiora Health Hub 6
21 January 2019 Outpatients sculptures add finishing touch The finishing touch to the new Christchurch Outpatients has been made, with two sculptures now in place in the gardens outside the building. Master carver Riki Manuel created the two concrete sculptures in tandem with the wooden carving representing moving water that was installed in the wind lobby of the building. The biggest of the outdoor sculptures is a two-metre-high carving called Rūnanga (a place of consultation) that reflects two people passing and talking. The second, smaller sculpture is Manuhiri, or visitors, that reflects a bird drinking in the river. The sculptures are concrete and were made from moulds carved out of plywood. Rūnanga is a sculpture of people passing each other and talking Manuhiri – a sculpture representing a bird drinking in the river together 7
21 January 2019 ISG Download Cloud migration and why it matters ‘Cloud’ is a term that’s often talked about in relation to IT ›› Its ability to adapt to solutions. Cloud computing is a type of internet-based operational and storage Information computing where different services such as servers, needs quickly. With an Services storage and applications are delivered to another offsite cloud computer Group organisation’s computers and devices through the Internet. service provider Essentially, these services are saved ‘offsite’ rather than on handling purchases and your onsite work/personal computer’s memory, and into installation of upgrades, a cloud computing provider’s server/s. Think of software businesses can expect to gain more time for standard programmes such as Dropbox, Google Drive and Apple activities or innovation projects. iCloud where you’re able to save files, but you access them ›› The potential to reduce operating costs by minimising on any device, be it on your phone, your laptop, and/or your the cost of managing and maintaining IT systems. Rather desktop computer. than purchasing expensive equipment, users can access Moving data, applications or other business elements to the resources of the cloud computing service provider. a cloud computing environment is referred to as cloud migration. Some of the benefits include: What does this mean for Canterbury DHB? ISG started exploring cloud options late last year, with a ›› Providing more assurance around data recovery and goal to start moving some of our services to a hybrid cloud business continuity planning. In a natural disaster, power solution in 2019. It is also a core component of our new failure or other crisis, having data stored in the cloud Microsoft Licenses and is already in use for a number of ensures it is backed up and protected in a secure and services, such as Max. safe location, allowing users to access it quickly with minimal downtime or loss of productivity. Cloud is not a destination – it is an experience that is all about delivery of services to the business. With this in ›› Access to automatic updates, meaning systems can be mind, ISG will be engaging with different business units to regularly updated with the latest technology, such as up- understand what this means for them. to-date versions of software and servers. 8
21 January 2019 On Behalf of the Committee The Maui Collective This week, we introduce Independent Chair of the Maui “What I like about chairing this committee is that I have Collective, Janice Donaldson. What does the group do, the opportunity to assist health providers with facilitating exactly? positive change. It’s heartening to be with people wanting to make a difference to the communities they work with,” The Maui Collective provides a platform to strengthen the Janice says. capacity and influence of Māori and Pasifika providers who deliver services for the Canterbury DHB, and ensure Māori To get in touch with the committee, you can approach any and Pasifika people in Canterbury have access to the best of the members, send a message to any of the providers, or possible services. send an email to committee chair Janice Donaldson. In addition, the Maui Collective welcomes contact with health system providers who want to engage on how to Members improve their services to Māori and Pasifika people. Canterbury DHB Hector Matthews, “The providers are keen to ensure Māori and Pasifika [ex officio members] Ngaire Button people in Canterbury have access to the best possible Etu Pasifika Amanaki Misa services. They also want to influence services throughout He Waka Tapu Jackie Burrows, Tanith the rest of the system that recognise and respond to the Petersen, Huata Noa diverse needs of Māori and Pasifika and help improve health outcomes,” Janice says. Kaupapa Māori and Pacific Elly Grant Island Shared Services The collective meets monthly to discuss issues, including Clinical Co-ordinator workforce development (current priorities are evaluation, Manawhenua ki Waitaha Wendy Dallas Katoa supervision and cultural development), and to meet with mainstream services who are looking for cultural input into Mokowhiti Consultancy Cazna Luke their service development and responsiveness. Nga Maata Waka Andrew McHutchison, June Swindells Recommendations are implemented by the group individually and/or collectively. Poutini Waiora Carl Hutchby Purapura Whetu Karaitiana Tickell, Dean Te Hae Rehua Marae Richard Milner Tangata Atumotu Carmen Collie Te Ha o Te Ora Trescia Lawson Te Kakakura Karen Hubbard Te Puawaitanga Alison Bourn Te Tai o Marokura Riria Allen The Maui Collective from left, Ngaire Button, Andrew McHutchison, Janice Donaldson, Huata Noa, Wendy Dallas-Katoa, Hector Matthews, Amanaki Misa, June Swindells, Dean Te Hae, Alison Bourn, Antonio Filimoehala, Elly Grant 9
our stories 21 January 2019 New Year Honours recipients Four people working in health in Christchurch have Liz took the lead on the establishment of a Field of received New Year Honours. Remembrance at the Banks Peninsula War Memorial grounds, fundraising, and researching the service details Lincoln Community Dental Clinic Dental Therapist Liz of the 104 names on the war memorial to create individual Haylock was awarded a Queen’s Service Medal (QSM) for white crosses. She established a War Memorial Register for services to the Returned Services Association (RSA) and the Banks Peninsula area. the community. Eleanor and a colleague established Eldernet in 1997, an Eleanor Bodger, a former Canterbury DHB social worker online database and directory of services for older people, who established Eldernet was honoured with a Queen’s their families, and those working in the aged care sector. Service Order for services to seniors. Eldernet provides directories of rest home and retirement Surgeon Philip Bagshaw, former head of the Department of villages, and home help services. Its industry blog and Surgery in Christchurch, who established the Canterbury newsletter link readers to news, events and insights Charity Hospital, was awarded a Companion New Zealand affecting health, retirement and aged care choices, while Order of Merit for services to health, and Canterbury DHB encouraging participation in local communities. Director of Service Improvement Brian Dolan was awarded an OBE in the United Kingdom’s New Year Honours List In 2007 Eleanor purchased Care Publications and published ‘For services to nursing and to emergency care’. a series of handbooks for older people which are available in five regionalised editions and updated every 20 months. Liz has been Secretary/Treasurer of the Banks Peninsula RSA branch for 19 years and has helped organise the Eldernet and Care Publication’s information services Akaroa and Little River ANZAC Day services. are free of charge. Eleanor is a volunteer with the New Brighton Pier and Foreshore Society Association and a She introduced an annual mid-year social function for panel member of ACC’s Customer Advisory Panel for Older RSA members as well as organising the annual Christmas People. dinner for veterans. Eleanor Bodger Liz Haylock 10
21 January 2019 Phil was a member of the Canterbury DHB Board, is a past Brian is Visiting Professor of Nursing at the Oxford Chair of the New Zealand branch of the Royal Australasian Institute of Nursing, Midwifery and Allied Health Research College of Surgeons and the Council of Medical Colleges (OxINMAHR) and Honorary Professor of Leadership in in New Zealand, and was appointed to several Ministry of Healthcare at Salford University. He is also Director of Health committees. Service Improvement for Canterbury DHB. He held a number of academic positions at the University He has written and/or edited seven nursing books, of Otago, Christchurch, School of Medicine, including an including one published last month, A nurse’s survival guide associate professor role and was head of the Department to leadership and management on the ward. of Surgery for five years from 1992. He created and leads a global social movement called Phil helped found the Academy of Endosurgery Trust. #EndPJparalysis, to encourage patients to get up, dressed He was an initiator of the internationally recognised and moving while in hospital. Brian led a 70-day campaign Laparoscopic Colorectal Cancer Study. across Britain’s National Health Service last year which saw more than 700,000 patients mobilising across the United He chaired the Scientific Assessing Committee for the Kingdom and which led to reductions in falls, pressure Canterbury Medical Research Foundation and has led or ulcers and even the length of stay through the prevention contributed to research on gastric mucus, Helicobacter of deconditioning. Pylori infection, and secondary elective health care. Brian is a dual-qualified psychiatric and general nurse As President of the New Zealand Society of and most of his clinical career was in emergency care as Gastroenterology he led a proposal for the establishment of well as in academic general practice as a research fellow a National Liver Transplant Unit. in the A&E Primary Care Service, King’s College Hospital, Phil chaired the New Zealand Liver Transplant London. Advisory Group for 15 years. He was a key driver of the For five years he was a script advisor for the BBC television establishment of the Canterbury Charity Hospital, chaired programme Holby City. its Trust from 2004, and remains a volunteer specialist General Surgeon. Phil Bagshaw Brian Dolan 11
21 January 2019 Working together towards Smokefree Aotearoa 2025 For the last 17 years the Aranui Community Trust Incorporated Society has presented AFFIRM, an annual family festival that celebrates the Aranui community and whanaungatanga (relationships), and promote services that encourage a healthy lifestyle or provide employment, training and career opportunities. Te Hā - Waitaha Stop Smoking Canterbury hosted a table at the event in December last year to raise awareness of the services it offers to help people The Te Hā – Waitaha team at the AFFIRM festival in Aranui in Canterbury become smokefree. Evidence indicates a person is much more likely to “Taking part in AFFIRM was an amazing day filled with successfully stop smoking when behavioural support aroha, manaakitanga (hospitality) and whanaungatanga,” and pharmacotherapy (stop smoking products) are used says Maraea Peawini, Team Lead from the Te Hā - Waitaha together. The team asked participants what their preferred Stop Smoking Canterbury Service. “The team welcomed product is versus going cold turkey – the majority chose the chance to talk with the Māori and Pasifika community patches, gums and lozenges, followed by e-cigarettes. about what would help them to become smokefree, how Going cold turkey was still a firm favourite, coming in equal they would prefer we engage with them and what sort of second with e-cigarettes. support would work best for them.” Mitchell Jordan, Health Promoter from the Smokefree ABC Smokers and non-smokers were invited to fill in a survey to team, says, “Evidence shows stop smoking services are help capture these ideas. the most effective way for a person to quit. This is because Questions focused on finding out the: they combine behavioural support with access to specific products that make it much easier. The results from our ›› reasons to be smokefree survey and discussions on the day will help inform how we ›› support people preferred to help them go smokefree work on delivery for this area.” ›› products they’d use versus going cold turkey. For more information about the support Te Hā - Waitaha Stop Smoking Canterbury offers, visit www. The top reasons for smokers to quit were the health stopsmokingcanterbury.org.nz or phone 0800 425 700. (35%) and financial benefits (15%), while non-smokers identified health (29%) and increased energy (15%). (Note it is possible the non-smokers included people who have become smokefree). In terms of support, face to face support was most popular in both groups, with the smoking group preferring this support to be 1:1 individual. 12
21 January 2019 Your Big Shout Outs have made a difference! Over three weeks in December, staff wellbeing project the Big Shout Out saw more than 13,000 messages of thanks sent and received by our people from Canterbury and West Coast DHBs. Our DHBs also received a very special Big Shout out from Health Minister David Clark – which you can watch here. The Big Shout Out is designed to celebrate and acknowledge the people and teams who bring something special to our workplaces. And with 13,000 messages sent and received, well, that’s a lot of special! Whether you sent one shout out or 10, we want to say thank you for taking the time to recognise your colleagues. The Big Shout Out is an important part of Care Starts Here, your workplace wellbeing programme. Because it’s your programme your feedback is important. So if you have any suggestions, questions or think your Big Shout Out may have been missed, please get in touch with us by emailing: carestartshere@cdhb.health.nz. 13
21 January 2019 United effort gets hospital patient to her grandson’s wedding It wasn’t looking good for Ruby Loughhead to make it to her much-loved grandson’s wedding. Ruby was a patient in Ashburton Hospital and was not ready to be discharged until after the milestone family event. She was determined to do all that she could to be there, but the 84 year old was feeling dejected at the prospect that she was unlikely to see her grandson Dale and his fiancée Ingrid take their marriage vows. Enter the Multi-Disciplinary Team in Ward 2 at Ashburton Hospital who decided to pull out all the stops to ensure Ruby could join the celebration. The team of fabulous nurses, physiotherapists, social worker, occupational therapist and medical team worked together, and with Ruby’s family, to ensure her clinical needs were met, equipment was in place and safe transfer procedures practiced to enable Ruby to be present on the big day. After an overnight stay in respite care close to the wedding venue, Ruby returned to Ashburton Hospital a little tired but brimming with joy that despite all of the obstacles she was From left, Enrolled nurse Fiona Prescott, Ruby Loughhead, able to be with her family for the celebrations. Physiotherapist Elizabeth Staite and Social Worker Emily Pipe The newlyweds were delighted Ruby was able to share the special day with them and expressed their gratitude for the huge effort she made to be there. Ruby was beaming with pride as she told staff about the joy of the day and thanked the team for all they did to help her achieve her goal. 14
21 January 2019 Neonatal Men’s Shed brings comfort to fathers during a difficult time The Neonatal service recently launched the Neonatal Neonatal Nurse Manager Debbie O’Donoghue says ‘Men’s Shed’, a place set aside for fathers to access through her own personal Masters research on fathers’ information and resources. experiences and the limited internationally published research on the impacts of a NICU journey for a father, a The birth of a premature or unwell baby results in the need few projects have already been undertaken. for a neonatal admission, a period of stay and separation from the family. This ushers in a period of uncertainty and “The Men’s Shed is one such project and provides a stress for parents. dedicated space for resources for fathers.” As a service, the Neonatal team wants to continue to work The availability of written information was a theme that and build upon its partnership in care with its parents and came out in interviews with fathers. their wider whānau, to reduce their stress and to support “One told me that as staff we should never fear bombarding them on their journey so that they feel included and him with information as he wanted to know everything, empowered in their baby’s care and decision making and while another talked about the information we give as confident parents by the time they leave the NICU with being too much initially but to be able to access when the their baby/babies. time was right would be great.” Family integrated care is a model of care that the With that feedback in mind, the team explored the Christchurch Hospital NICU launched in early 2018 and opportunity to define a dedicated place for information for over the past year staff have been working away on a fathers and to source relevant resources that they could number of initiatives to enhance and promote it. One pillar read at their leisure. of this care is psychosocial support, and a focus within the working group is to be able to support fathers more through the neonatal stay. Neonatal Ward Receptionist Nell Wilson, with her husband Craig who built the shed, and one of the ward’s fathers Stan Chung One of our neonatal ward receptionists, Nell Wilson, coaxed her talented husband Craig to use his spare time to craft this wonderful shed, now housed within the neonatal parent lounge 15
21 January 2019 Appointments of Medical Oncologist and Radiation Oncologist The Oncology Service welcomes the following new appointments. Clare Pate has accepted the position of Medical Oncologist for the Canterbury Regional Cancer & Haematology Service and Palliative Care. Clare started with Canterbury DHB as a House Officer in May 2011 and then in 2013 as a senior registrar in the Oncology/Haematology/Palliative Care cluster. Her particular areas of interest are in gynaecological and gastrointestinal malignancy. During the latter part of her training, she completed a fellowship in Gynaecological Oncology at the Royal Marsden Hospital in London. In that role as a Clinical Research Fellow, she was Clare Pate Gillian Campebll also lead investigator on a number of clinical trials in Gynaecological Oncology. Clare also has a degree in Genetics and intends to develop her interest in inherited cancer syndromes. During her years as an advanced training registrar she was enthusiastically involved with undergraduate and postgraduate teaching, and looks forward to continuing this as part of her new role. Gillian Campbell has been appointed as a permanent member of the Radiation Oncology team. Gill has been working with the team as a locum since May 2017 and has accepted a full time Senior Medical Officer position. Gill has sub-specialty interests in breast cancer, neuro-oncology and haematological malignancies and has been involved in the associated multidisciplinary meetings (MDMs) as well as providing input to the Complex Palliative Care MDM and the Timaru video-conferencing MDM. “Many of you have already had the pleasure of working with Gillian and Clare and so I am sure you will join us in making them welcome,” says Clinical Director Medical Capability and Development Mark Jeffery. 16
21 January 2019 Share your favourite photos and you could win a Night Noodle Market voucher Share your favourite photo taken over Christmas/New Year and a selection will be featured in the next CEO Update on Monday 28 January. Winners of the best two photos will each receive a $125 voucher for the Night Noodle Markets, courtesy of Fairfax/ Stuff. The markets are on from Wednesday 6 – Sunday 17 February and the vouchers can be used on any night. Entries close Thursday 24 January. Send your photos as JPEGs or PNGs to communications@cdhb.health.nz with ‘Photo competition’ in the subject line. Please note that, when sending in your photo, you give us permission to use them at our discretion, including on Canterbury DHB digital media channels. Send any competition questions to communications@cdhb.health.nz. 17
21 January 2019 One minute with… Tara Gibb, Medical Photographer What does your job involve? attend one of her As a medical photographer, I can be called all over the talks in London hospital to photograph patients who are on the wards, a few years ago, including in the outpatients department, if they are too frail I would love to to come to the studio, and also in the operating theatre. meet her. We try and photograph most patients in the studio as we What do can produce a much better image of their condition and Canterbury sometimes a short video can be requested. You have to be DHB’s values very patient, sympathetic and have a lot of empathy when (Care and working with patients as they can be upset/emotional. respect for Other work I can be doing on a typical day is staff portraits others, Integrity in the studio and public relations photography which most in all we do and of the time requires different locations; there are also Responsibility video filming requests. We may take many photographs for outcomes) Tara on a Lord of the Rings tour at Mount throughout the day and we have to obtain the patient’s mean to you in Sunday informed consent and answer any questions they may have. your role? After the initial photography/video there is the editing time These values of go hand in hand with the job and it should and making sure that the images are securely uploaded to come naturally when working in any kind of role. Medical Illustration’s database. Something you won’t find on my Linked In profile is… Why did you choose to work in this field? When I was 14, I appeared on ‘Roy Castle’s Record When I was 16 I was extremely lucky to be interviewed for Breakers’ as a tap dancer in the biggest group of tap a training scheme by a person who happened to be a good dancers to perform a routine together. friend of the manager of medical photography in the nearby hospital who was looking for a trainee. I really enjoyed the If I could be anywhere in the world right now it would work and was taken on full time when my training scheme be… ended. I qualified three years later, and then studied for a Having only recently arrived here in New Zealand (six degree in clinical photography more recently. months ago), I have to say that this is where I want to be. It is such a beautiful country and there is so much to see and do. What do you like about it? I like the variety of the job, there are different things booked What do you do on a typical Sunday? in every day and there are always new things to learn. On a typical Sunday I like to relax with my family, we usually go for a drive and explore the area; I take my camera in What are the challenging bits? case of a photo opportunity – I like photographing wildlife. Medical photography can be very challenging. There I like to spend time with my husband and daughter and we can be calls to attend the Emergency Department, the go out and find a nice little café and relax with a coffee; I mortuary, theatre, etc. If a patient is upset or distressed also like to play with my cat Lily. you have to do all you can to help them, they may have just received upsetting news. You have to try and put them at One food I really like is… ease straight away, and if the photography session takes I love a really good Indian meal – nice and spicy. a little longer – that is ok. As long as the patient leaves the department feeling better than when they walked in. My favourite music is… I like all kinds of music depending on what mood I am in at Who inspires you? the time. The last CD I bought was Beth Hart but I like all Dr Caroline Wilkinson is a British anthropologist who is sorts of music. best known for her work in forensic facial reconstruction and has created the facial reconstruction of King Richard III. If you would like to take part in this column or would like to She has appeared on television numerous times including nominate someone please contact Naomi.Gilling@cdhb.health.nz. a documentary called ‘History Cold Case’. I was fortunate to 18
notices 21 January 2019 Drive for Good – vote for your favourite charity It’s fantastic to see so many health and wellbeing organisations among the 10 deserving Christchurch charities in the running for a share of $100,000 from @Archibalds. Voting closes at the end of February so make sure you head to www.driveforgood.co.nz and vote for your favourite health charity so the community can continue to benefit from the great work they do. Health Quality & Safety Commission e-digest The latest issue of the Health Quality & Safety Commission New Zealand’s e-digest is out now. Stories include: consumer engagement across the health system; announcement of the Whakakotahi 2019 shortlist; launch of the Let’s talk advance care planning campaign; insights into staff views on mental health and addiction services. To read these stories and many more here. 19
21 January 2019 The latest edition of eCALD news is out now CALD refers to culturally and linguistically diverse groups who are migrants and refugees from Asian, Middle Eastern, Latin American and African (MELAA) backgrounds. This news edition includes: ›› eCALD® Research Commentary 27th edition focuses on equitable access to primary health care for Asian, refugee and migrant populations ›› Information on Chinese New Year [5 February 2019] ›› A cross-cultural interest group session: ‘The role of Age Concern in elder abuse and neglect’ ›› “You are not alone” – Asian ‘Like Minds’ campaign ›› A survey of New Zealanders’ perceptions of national identity ›› Refugee quota arrivals and settlement for the last five years Find out more here. 20
21 January 2019 Chch Hospital Annex Room by the Great Escape Café Thurs 24 January 10:00am – 3:00pm 21
21 January 2019 Simulation as a teaching tool 4-day workshop ONLY 3 PLACES LEFT Date: 5–8 March 2019 (Tuesday – Friday) Time: 0730–1730 (approx.) Venue: Manawa Simulation Centre, Level 2, 276 Antigua Street, Christchurch, New Zealand. Fees: $NZ 7,000 (only 3 places left). Audience: open to any healthcare professional who has a strong commitment in moving simulation based education forward. Simulation as a Teaching Tool, 4-day Workshop Canterbury District Health Board is proud to offer this internationally recognised, 4-day Simulation Instructor Course, working in partnership with the Boston based Centre for Medical Simulation (CMS). The course is designed for simulation educators who seek to create high-quality healthcare simulation programs. This course immerses healthcare simulation instructors in a multi-method course wherein participants learn how to teach clinical, behavioral, and cognitive skills through simulation. It draws from the disciplines of aviation, healthcare, psychology, experiential learning, and organisational behavior. Participants explore simulator-based teaching methods applicable across the healthcare education spectrum, including undergraduate and graduate medical, nursing and allied health domains. The daily formats vary and include simulation scenarios, lectures, and small and large group discussions. Topics include: Who is the course for? • Building a challenging and safe learning • Medicine environment • Nursing • Utilising effective debriefing techniques • Mental Health and avoiding ineffective ones • Community • Preparing, building, conducting and • Allied Health debriefing high-fidelity simulation • All Healthcare partners scenarios • Practical exercises with feedback. EXPRESSION OF INTEREST Please send your expression of interest (1 per person) or for further information via email to christine.beasley@cdhb.health.nz • Full name • Profession • Contact email • Place of work 22
21 January 2019 AOTEAROA BIKE CHALLENGE 1-28 February, 2019 RIDE A BIKE AND WIN • Join - Ride - Win • A fun, free workplace competition • Everyone can take part - it doesn’t matter if you haven’t ridden in years • Ride anywhere, anytime • Track your team’s position in live leaderboards • Great prizes • Ride for just 10 minutes or more to participate Sign up at www.aotearoa.bike 23
21 January 2019 CANTERBURY DHB 2019 CANTERBURY DHB 2019 CANTERBURY DHB 2019 CANTERBURY DHB 2019 Māori and Pacific Scholarships are for Christchurch-based tertiary institution student who is studying a health-related NZQA accredited Māori and course Pacific and has whakapapa Scholarships are forwith Māori communities Christchurch-based tertiary and/or Māori Māori cultural institution andand student Pacific Pacific links whowith Pasifika isare Scholarships Scholarships arecommunities, studying andNZQA a health-related for is alsotertiary Christchurch-based for Christchurch-based tertiary planning institution accredited institution tocourse work student whoin student and the iswho Canterbury studying has is whakapapa studying adistrict. a health-related withNZQA Māori communities health-related NZQA accredited course and has whakapapa with Māori communities and/or cultural accredited course links andwithhas Pasifika whakapapa communities, with Māoriand is also communities and/or cultural links with Pasifika communities, and is also planning planning to work and/ortocultural work inCanterbury links in the the Canterbury with Pasifika district. district.communities, and is also planning to work in the Canterbury district. • Applications close 5pm Friday 29 March 2019 • Applications close 5pm Friday 29 March 2019 • • Applications Online close 5pm applications to beFriday 29 March forwarded to: 2019 • Applications close 5pm Friday 29 March 2019 • Online applications to be forwarded to: manawhenuakiwaitaha.kaiawhina@gmail.com • Online applications to be forwarded to: manawhenuakiwaitaha.kaiawhina@gmail.com • Online applications to be forwarded to: manawhenuakiwaitaha.kaiawhina@gmail.com manawhenuakiwaitaha.kaiawhina@gmail.com • • AnyAny queries, queries, please please contact contact : : Ruth Ruth Chisholm, Chisholm, Kaiawhina Kaiawhina 0274434532 0274434532 • For Any morequeries, please information contact please visit: : For more information please visit: • www.cdhb.health.nz/maorihealth Any queries, Ruth Chisholm,please contact 0274434532 Kaiawhina : www.cdhb.health.nz/maorihealth Ruthmore Chisholm, Kaiawhina For information please0274434532 visit: For more information please visit: www.cdhb.health.nz/maorihealth www.cdhb.health.nz/maorihealth 24
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